Central Bedfordshire Council www.centralbedfordshire.gov.uk

Your health in Bedfordshire, the future services review

John RookeBedfordshire Clinical Commissioning Group

Your health in Bedfordshire – the future services review

29 April 2014

Dr Alvin LowLocal GP and locality chair

Bedfordshire CCG

• We are run by local GPs

• We plan, organise and buy NHS-funded

healthcare for the 441,000 people who

live in Bedfordshire

• This year, we will spend around

£440 million on hospital services,

community health services and mental

health services

BCCG – who we are

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As clinical leaders, it is our job to create the

best NHS services for our population, today

and in the future

This means we have to:

1. Know what our population needs from healthcare

2. Listen to Bedfordshire people about what they want from healthcare

3. Learn from the best locally, nationally and internationally about how to provide this care

4. Work with others – patients, the public, GPs, local councils, hospitals, community and mental health partners, voluntary organisations, community leaders

That is exactly what we intend to do through the Health Review

What we do

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Throughout, we will:

• Build on existing evidence and understanding of local health needs

• Seek out, listen to and act on patient, carer and public opinion

• Be open-minded and transparent

• Ensure local clinicians make key local decisions and are the lead voice for the review

• Draw on examples of good quality, innovative care from elsewhere

The Review will:

• Cover Bedfordshire and Milton Keynes

• Address challenges, deliver better health outcomes and better quality care

• Be run in partnership with Milton Keynes CCG, NHS England, Monitor and the Trust Development Agency

• Enable decisions to be made about the future of Bedford Hospital

• Generate options for delivering sustainable, high quality (hospital and out of hospital) services for the CCGs to take to formal public consultation

Aims Principles

About the Health Review

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Review startsReview report

published

Formal

consultation

phase

Consideration

phase

January 2014 Summer 2014Summer / Autumn

2014Autumn / Winter

2014

Health Review timeline

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Patients, the public and

clinicians all have something

different to bring to the table.

That’s why we need to work

together.

Because it’s a big task, none of us can do it alone

The Parish Council network is key to

communicating with rural communities

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Your health in Bedfordshire – the future services review

29 April 2014

John RookeChief Operating Officer

Bedfordshire CCG

Bedford Hospital

Cambridge

University

Hospitals

East & North Hertfordshire

NHS Trust

Luton & Dunstable Hospital

Buckinghamshire Hospital

Milton Keynes

Hospital

Bedford Borough

Central Bedfordshire

Buckinghamshire

Hertfordshire

Cambridgeshire

Northamptonshire

Sandy

Biggleswade

Ampthill

Flitwick

Leighton Buzzard

SEPT facility

Newport Pagnell

Milton Keynes

Chiltern Vale

Bedford

Ivel Valley

Leighton Buzzard

West Mid Beds

Milton Keynes

Where you currently access care

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• Inconsistent quality of care

• Growing and ageing population

• Increasing numbers of people living with long-term

conditions (and with more than one of them)

• Inequalities in life expectancy and access to healthcare

• Workforce shortages across the

healthcare system

• Big financial challenges

The challenges we face

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• Population of Bedfordshire expected to grow by

71,000 people (17%) between now and 2031

• Number of over 65s in Central Beds expected to

increase by 87% between 2011 and 2031

• Number of people in Bedfordshire with diabetes

and coronary heart disease is expected to

increase by 11% between 2013 and 2020

• 24% of local GPs close to retirement

• If we were to continue to spend at the same rate

as now (approximately £1,000 per person), then

by 2031 we would need an additional £71 million

A few key facts

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Input from...

Clinical Forum

Stakeholder

Forum

Public

meetings

Bedford

Hospital focus

group

MCAG, SNAP

A case for change – launched 9 April

This is the midway

report that sets out in

detail the challenges

facing our local NHS

services, and the

opportunities available

to us

Copies of the full report and summary are available

from www.yourhealthinbedfordshire.co.uk

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As well as the challenges, the Case for Change

also highlights opportunities, such as:

• Investing more in prevention and patient

education

• Learning from good practice elsewhere

• Working more closely with council-funded

social services

• Linking payment for healthcare to benefits for

patients rather than the current system which

pays for the number of treatments or patients

seen

Opportunities

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• Care is usually good, but there are signs

of strain

• Access to GP varies significantly – people

may not seek help or go to A&E instead

• Most GPs, community clinics and hospitals

are meeting basic safety standards, but

quality of care is inconsistent

• Delays in diagnosis of long term conditions

• Opportunities for early intervention are

often missed

• Interaction can be impersonal and services

are not always joined up

What else we have learnt

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• Local hospitals have struggled to meet

NHS waiting time targets in key areas of

A&E and orthopaedics

• The small scale of some local hospital

services impacts the care they can provide

• Hospital care differs significantly for

weekday and weekend admissions

• Pressure on hospital emergency services

is impacting on planned care, putting

patients at risk and leading to poorly

co-ordinated discharge and aftercare

• Not enough prevention, early diagnosis

and self care

What else we have learnt

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GPs give us good

quality advice and

treatment

There is a

lack of

communication

But I can’t always But I can’t always

get an

appointment

when I need it

We need more focus

on care for the elderly

and mental health

services

I need more

information on

where to go for

help

Services need

to be more

joined up

What the public and patients are saying

We could

make better

us of

technology

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What the public and patients are saying

24/7 care is a

must

• Stakeholder and clinical forums

• Public meetings

• Bedford Market, supermarkets,

libraries, RAVE bus

• Targeted engagement with harder

to reach groups

• Bedford Hospital staff roadshow

• Regular e-newsletter

• 100s of people on our stakeholder

email list

• Website regularly updated with

news and feedback

• Facebook and Twitter

Consultation so far 100s of people, all ages, many locations

Keeping you informed

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• Sign up to our e-newsletter at

www.yourhealthinbedfordshire

• Regular updates on website

• Invite us to an event

• Can you help us to engage with any

harder to reach groups?

@bccg5 /bedsccg

Any questions?

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